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Automatic stop orders reduced duration of indwelling urinary catheterisation in hospital

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M Loeb

Dr M Loeb, McMaster University, Hamilton, Ontario, Canada; loebm@mcmaster.ca

QUESTION

Does a strategy of automatic stop orders reduce duration of indwelling urinary catheterisation in patients in hospital?

METHODS

Design:

randomised controlled trial.

Allocation:

concealed.

Blinding:

blinded (patients).

Follow-up period:

until catheter removal or discharge from unit.

Setting:

7 general medical units in 3 hospitals in Hamilton, Ontario, Canada.

Patients:

692 patients in hospital (mean age 79 y, 62% women) with an indwelling urinary catheter inserted for ⩽48 hours. Patients with symptomatic urinary tract infection or an indwelling catheter inserted in the 10 days before hospital admission were excluded.

Intervention:

automatic stop orders to remove the catheter if the patient did not meet any of 6 criteria for appropriate catheterisation (urinary obstruction, …

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